Permit CITY OF TIGARD MECHANICAL PERMIT
11 . COMMUNITY DEVELOPMENT Permit #: MEC2012 -00398 •
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/30/2012
Parcel: 1 S136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: Fred Meyer Subdivision: 2000 -025 PARTITION PLAT Lot: 2
Project Description: Install (1) panasonic ductless split. Reuse existing supply and return ductwork
Contractor: JACOBS HEATING & AIR CONDITIONING Owner: FRED MEYER INC
4474 SE MILWAUKIE 3800 SE 22ND AVE
PORTLAND, OR 97202 PORTLAND, OR 97202
PHONE: 503 - 234 -7331 PHONE: 503 - 232 -8844
FAX: 503 - 808 -9108
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/30/2012 $357.87
Class of Work: ALT Type of Const: Plan Review 07/30/2012 $89.47
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/30/2012 $42.94
Stories:
Project Valuation: $10,400.00
Fuel Air Handlers -
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $490.28
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 / ` or 1.800.332.2344. A /��
Issued By: .1 Jtel Permittee Signature: t APP/_11JV ! W
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
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Approved plans are required on the job site at the time of each inspection.
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R WED
Meeha.nieal Permit ADplic�a ton _ I v
JUL 26 2012 t;�ut.d I .c�mis ��UU�t� 003
City of Tigard >,::a.: '1 3p I Z `� ` i
Ill 1: 1.' ti1\' hal tiM.. Tigard, (1R ) i 223 i„.„....,.. U+nm'tksnui' G L ei�+ lt1. "1 11>' ,
_ • inspection C : > L t r P.P. tU_ Or ilom$! —
• a ; IW.h':B�' •�� t7J See CuE� S far
Inspection Lln.. 50,6A:117S gi � �DI�ISaION } hue i�'t•L -t >` f Of Supplrtglmtal tafurutatiau
l' i G A tt Internet: +cusctst; rd-.tr _euv lt'v f Y
TYPE OF 111'01ik . .... l .. CO ECles3sP ,.
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• • 1 Mechanic:1 =m fr a• are lwSed On the iliac of lit~ riots
Wield- � dtiicitertlian�roplse�rncnz 1 pta furnuxl. i� =1'te s tie (rounded to the ntsrest. dullat) at
�'�srn� t u(t�tttt'.CiUrl un d nt::httnieul materials. e•ui mere. 4ab.r. anatte:taL us' Id 'rolls.
1 Q Demolition 0 Othe i value S t ia I 'co
C,t 1 GARY .OF C0?��"7RiC17D\ RfS1DEAIl 1 UIP1T>~hT.. /SD.'$[Eb�.` Fes`"
Fur special Jnformgldax utrchcck1#. L •
0 '1 -,itnd 2- found' cl :thing. OCommercinlAntittstrir1 0 .Accc ur building l 13ncriptiun 1 � I. CotaT I
Muhl- I'arnily D ?4usterbuilder 0 Other.: I. •
.1013' 51 i E.. 31VFWKtia°110 .AND 1 p ATIOX. t it aon d ilion ing ' 4G ,
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. ` .l 1 I Furn I I .16.75 t •
parr .it_ ad�rtdis' Sl _ I ace 10O,OW BTh teurtutenw •
' -1 � � 3 . 3 .0 1 Pun to WOOD- l: tduats.yermi 54.9
! tlest pump .
. f Pro «Knout.: C� - � y� i. Y f :. l �'� I . rut: lobe.at4o1 30ihawv'll'fllyullzDt� 61.
' Sul usroldg.lapt..no... Oust work x.32 1 +
i • Cra autxddir��tie�rt+ to jut+ alt:: ,, l ivdruniC hot w;gcs system 1 3333 1
t r it.�idCtnisl boiler (rsdiuor•nr I F73.32 .
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{'.(brat 4testett tftset•tYpe. ow. gICCtricl, I
I' in- N'oll..in-dut7. suspended. sic. 1 46.
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Subdivision: , l. nu: 23,32
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aro:
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•1 IAfSC,1t1P170 ( >f '1VOR1: .... tru fin lanrfinitst 33.34 1
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bras ti lace I 23S •
;� � �- > Q , , ' x ,. �,�� � J r1a-y 1 (sublet (=S1 23.32 �.
a , r ! 1 \\'oudlttcllet stone , I l 3339
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(:himnocflintriinsut:nt I 23.
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. I t;nvirunlnCnud elitattS1 and n•cntilation: y
• �uute: - 1 I Rme2,e htwd o r lit to i f
•• ' A:ldr��k equipment I ( 33.3 I 1
L. -. Clothes dryC: a Suit I 1 33.39 !
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